TY - JOUR
T1 - Post-contrast acute kidney injury - Part 1
T2 - Definition, clinical features, incidence, role of contrast medium and risk factors : Recommendations for updated ESUR Contrast Medium Safety Committee guidelines
AU - van der Molen, Aart J
AU - Reimer, Peter
AU - Dekkers, Ilona A
AU - Bongartz, Georg
AU - Bellin, Marie-France
AU - Bertolotto, Michele
AU - Clement, Olivier
AU - Heinz-Peer, Gertraud
AU - Stacul, Fulvio
AU - Webb, Judith A W
AU - Thomsen, Henrik S
N1 - Publisher Copyright:
© 2018, The Author(s).
PY - 2018/7/1
Y1 - 2018/7/1
N2 - PURPOSE: The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 2011 guidelines on the prevention of post-contrast acute kidney injury (PC-AKI). The results of the literature review and the recommendations based on it, which were used to prepare the new guidelines, are presented in two papers. AREAS COVERED IN PART 1: Topics reviewed include the terminology used, the best way to measure eGFR, the definition of PC-AKI, and the risk factors for PC-AKI, including whether the risk with intravenous and intra-arterial contrast medium differs.KEY POINTS: • PC-AKI is the preferred term for renal function deterioration after contrast medium. • PC-AKI has many possible causes. • The risk of AKI caused by intravascular contrast medium has been overstated. • Important patient risk factors for PC-AKI are CKD and dehydration.
AB - PURPOSE: The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 2011 guidelines on the prevention of post-contrast acute kidney injury (PC-AKI). The results of the literature review and the recommendations based on it, which were used to prepare the new guidelines, are presented in two papers. AREAS COVERED IN PART 1: Topics reviewed include the terminology used, the best way to measure eGFR, the definition of PC-AKI, and the risk factors for PC-AKI, including whether the risk with intravenous and intra-arterial contrast medium differs.KEY POINTS: • PC-AKI is the preferred term for renal function deterioration after contrast medium. • PC-AKI has many possible causes. • The risk of AKI caused by intravascular contrast medium has been overstated. • Important patient risk factors for PC-AKI are CKD and dehydration.
KW - Acute Kidney Injury/chemically induced
KW - Administration, Intravenous
KW - Contrast Media/administration & dosage
KW - Female
KW - Glomerular Filtration Rate/physiology
KW - Humans
KW - Incidence
KW - Injections, Intra-Arterial
KW - Male
KW - Practice Guidelines as Topic
KW - Radiography
KW - Risk Factors
KW - Acute kidney injury
KW - Practice guidelines as topic
KW - Risk factors
KW - Glomerular filtration rate
KW - Contrast media
UR - http://www.scopus.com/inward/record.url?scp=85041836870&partnerID=8YFLogxK
U2 - 10.1007/s00330-017-5246-5
DO - 10.1007/s00330-017-5246-5
M3 - Review article
C2 - 29426991
SN - 0938-7994
VL - 28
SP - 2845
EP - 2855
JO - European Radiology
JF - European Radiology
IS - 7
ER -